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Ergebnisse des Limberg-Plastik-Verfahrens bei akuten und chronischen Pilonidalabszessen
BACKGROUND: A number of different treatment algorithms are recommended for the treatment of an acute pilonidal abscess and a chronic pilonidal sinus. While a 1-stage surgical procedure using excision or plastic reconstruction according to Limberg or Karydakis is suggested for chronic pilonidal sinus...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Medizin
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8821484/ https://www.ncbi.nlm.nih.gov/pubmed/34132822 http://dx.doi.org/10.1007/s00104-021-01439-0 |
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author | Driouch, Jamal Braumann, C. Dehnst, J. Ikram, M. Alnammous, G. Bausch, D. Glatz, T. |
author_facet | Driouch, Jamal Braumann, C. Dehnst, J. Ikram, M. Alnammous, G. Bausch, D. Glatz, T. |
author_sort | Driouch, Jamal |
collection | PubMed |
description | BACKGROUND: A number of different treatment algorithms are recommended for the treatment of an acute pilonidal abscess and a chronic pilonidal sinus. While a 1-stage surgical procedure using excision or plastic reconstruction according to Limberg or Karydakis is suggested for chronic pilonidal sinus, a 2‑stage procedure is recommended for an acute pilonidal abscess. The aim of this study was to compare the results of the 1‑stage surgery with plastic reconstruction according to Limberg for acute pilonidal abscess and chronic pilonidal sinus in terms of recurrence, disorders of wound healing, inpatient length of stay and patient satisfaction. METHODS: From 2009 to 2014 a total of 39 patients were included in this prospective observational study: 21 patients with acute pilonidal abscess and 18 patients with chronic pilonidal sinus. All patients were surgically treated with a 1‑stage procedure using the Limberg flap method. The groups were compared in terms of postoperative complication rates and frequency of recurrence. RESULTS: Both groups were basically comparable with respect to demographic characteristics and risk factor profiles. Analysis of the postoperative results showed a comparable rate of postoperative wound healing disorders (10% vs. 17%, p = 0.647). In the group with acute pilonidal abscesses there was no recurrence during the observational period, while in the chronic pilonidal sinus group there were 2 (11%) recurrences (p = 0.206). CONCLUSION: The results of the Limberg flap procedure regarding acute pilonidal abscesses were comparable to those of chronic pilonidal sinus. The results of this study show a trend to a lower risk of recurrence. The use of the Limberg flaps therefore also seems to be an adequate treatment option in an acute infection situation. |
format | Online Article Text |
id | pubmed-8821484 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer Medizin |
record_format | MEDLINE/PubMed |
spelling | pubmed-88214842022-02-23 Ergebnisse des Limberg-Plastik-Verfahrens bei akuten und chronischen Pilonidalabszessen Driouch, Jamal Braumann, C. Dehnst, J. Ikram, M. Alnammous, G. Bausch, D. Glatz, T. Chirurg Originalien BACKGROUND: A number of different treatment algorithms are recommended for the treatment of an acute pilonidal abscess and a chronic pilonidal sinus. While a 1-stage surgical procedure using excision or plastic reconstruction according to Limberg or Karydakis is suggested for chronic pilonidal sinus, a 2‑stage procedure is recommended for an acute pilonidal abscess. The aim of this study was to compare the results of the 1‑stage surgery with plastic reconstruction according to Limberg for acute pilonidal abscess and chronic pilonidal sinus in terms of recurrence, disorders of wound healing, inpatient length of stay and patient satisfaction. METHODS: From 2009 to 2014 a total of 39 patients were included in this prospective observational study: 21 patients with acute pilonidal abscess and 18 patients with chronic pilonidal sinus. All patients were surgically treated with a 1‑stage procedure using the Limberg flap method. The groups were compared in terms of postoperative complication rates and frequency of recurrence. RESULTS: Both groups were basically comparable with respect to demographic characteristics and risk factor profiles. Analysis of the postoperative results showed a comparable rate of postoperative wound healing disorders (10% vs. 17%, p = 0.647). In the group with acute pilonidal abscesses there was no recurrence during the observational period, while in the chronic pilonidal sinus group there were 2 (11%) recurrences (p = 0.206). CONCLUSION: The results of the Limberg flap procedure regarding acute pilonidal abscesses were comparable to those of chronic pilonidal sinus. The results of this study show a trend to a lower risk of recurrence. The use of the Limberg flaps therefore also seems to be an adequate treatment option in an acute infection situation. Springer Medizin 2021-06-16 2022 /pmc/articles/PMC8821484/ /pubmed/34132822 http://dx.doi.org/10.1007/s00104-021-01439-0 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open Access Dieser Artikel wird unter der Creative Commons Namensnennung 4.0 International Lizenz veröffentlicht, welche die Nutzung, Vervielfältigung, Bearbeitung, Verbreitung und Wiedergabe in jeglichem Medium und Format erlaubt, sofern Sie den/die ursprünglichen Autor(en) und die Quelle ordnungsgemäß nennen, einen Link zur Creative Commons Lizenz beifügen und angeben, ob Änderungen vorgenommen wurden. Die in diesem Artikel enthaltenen Bilder und sonstiges Drittmaterial unterliegen ebenfalls der genannten Creative Commons Lizenz, sofern sich aus der Abbildungslegende nichts anderes ergibt. Sofern das betreffende Material nicht unter der genannten Creative Commons Lizenz steht und die betreffende Handlung nicht nach gesetzlichen Vorschriften erlaubt ist, ist für die oben aufgeführten Weiterverwendungen des Materials die Einwilligung des jeweiligen Rechteinhabers einzuholen. Weitere Details zur Lizenz entnehmen Sie bitte der Lizenzinformation auf http://creativecommons.org/licenses/by/4.0/deed.de (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Originalien Driouch, Jamal Braumann, C. Dehnst, J. Ikram, M. Alnammous, G. Bausch, D. Glatz, T. Ergebnisse des Limberg-Plastik-Verfahrens bei akuten und chronischen Pilonidalabszessen |
title | Ergebnisse des Limberg-Plastik-Verfahrens bei akuten und chronischen Pilonidalabszessen |
title_full | Ergebnisse des Limberg-Plastik-Verfahrens bei akuten und chronischen Pilonidalabszessen |
title_fullStr | Ergebnisse des Limberg-Plastik-Verfahrens bei akuten und chronischen Pilonidalabszessen |
title_full_unstemmed | Ergebnisse des Limberg-Plastik-Verfahrens bei akuten und chronischen Pilonidalabszessen |
title_short | Ergebnisse des Limberg-Plastik-Verfahrens bei akuten und chronischen Pilonidalabszessen |
title_sort | ergebnisse des limberg-plastik-verfahrens bei akuten und chronischen pilonidalabszessen |
topic | Originalien |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8821484/ https://www.ncbi.nlm.nih.gov/pubmed/34132822 http://dx.doi.org/10.1007/s00104-021-01439-0 |
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